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Ebola : Research at the heart of the african tropical forest ,[object Object],[object Object],[object Object],[object Object],CEA CHRU CNRS CPU INRA INRIA INSERM INSTITUT PASTEUR IRD
[object Object],[object Object],Ebola virus: an emergent pathogen infecting humans and animals ,[object Object],[object Object],[object Object],[object Object],[object Object],Lancet  1997;  J Infect Dis  1999;  Science  2004  Lancet  2002; Clin Infect Dis 2006 J Infect Dis 2011; Trans Roy Soc 2011
The fundamentals of the pathogen Emergence 1 Step 1: from the natural host to human Step 2: from exposure to infection 2 Step 3: from human to human 3
Tracking Ebola: from field to lab ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
outbreak direct contact ,[object Object],[object Object],[object Object],Step 1 to Emergence: From bats to humans J Infect Dis  2004;  Science  2004;  Nature  2005  ; Emerg Infec Dis  2005 Vect born Zoo Dis  2009;  J Infect Dis  2010
Tracking and following the Ebola virus history for the understanding of its Genomic evolution ,[object Object],Step 2: From exposure to infection, virus evolution J  Gen Virol  2003;  Science  2004 Proc Natl Acad Sc USA  2008 J Infect Dis  2011 Before Our study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Host response: Deep defective immunity ,[object Object],[object Object],CD3+CD4+ CD3+CD8+ ,[object Object],0.7% 11.0% 51.9% 0.9% 72.6% T8 CD95+ T4 CD95+ Fas  mechanism ,[object Object],CTL DCD SURV 12.3% 5.4% 22.4% 43.6% T4 T8 46.2% 24.1%
Pathogenesis: virus replication and superantigen activity ? Nat Med  1999;  Clin Exp immunol  2001  PLoS Neg Trop Dis 2010 J Virol 2011  -actin V  2 V  5.1 V  12 V  1 1 V  7 V  6 V  17 V  16 V  13.2 V  19 Controls Fatal cases Days before death 9  8  7  4  3  2  1  0
Step 3 of Emergence: From humans to humans Routes of transmission From animals From body fluids At the hospital Traditional healer Strategy to control outbreaks: Prevention only Barriers nursing Individual protection
Human asymptomatic infection of Ebola virus EBOV RNA+ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],7  9  16  23 ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Perspectives

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3.2 eric leroy

  • 1.
  • 2.
  • 3. The fundamentals of the pathogen Emergence 1 Step 1: from the natural host to human Step 2: from exposure to infection 2 Step 3: from human to human 3
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. Pathogenesis: virus replication and superantigen activity ? Nat Med 1999; Clin Exp immunol 2001 PLoS Neg Trop Dis 2010 J Virol 2011  -actin V  2 V  5.1 V  12 V  1 1 V  7 V  6 V  17 V  16 V  13.2 V  19 Controls Fatal cases Days before death 9 8 7 4 3 2 1 0
  • 9. Step 3 of Emergence: From humans to humans Routes of transmission From animals From body fluids At the hospital Traditional healer Strategy to control outbreaks: Prevention only Barriers nursing Individual protection
  • 10.
  • 11.